If you are a social worker, counselor, doctor, agency, organization, clinic or private practice referring a patient for mental health, domestic violence, or maternal mental health counseling:


Step 1: Please complete the referral form in its entirety.

Step 2: Have patient sign release form below, scan and email both forms to


The patient will be contacted within two (2) regular business days.


*JL Counseling does not provide medication management services or outpatient substance abuse treatment. We also do not determine custody or placement of children.*

1545 Line Avenue Suite 330E

Shreveport, LA 71101

By appointment only

Tel: 318-759-7865

© 2020 by JL Counseling. All Rights Reserved.